The nurse is caring for a patient with hyponatremia.
Which of the following interventions would be appropriate?
Encouraging the patient to consume a low-sodium diet.
Administering intravenous fluids with a high sodium content.
Administering a diuretic medication to increase urine output.
Encouraging the patient to increase fluid intake.
The Correct Answer is B
Hyponatremia is a condition where the serum sodium level is below 135 mEq/L, which can affect the normal functioning of cells, muscles, and organs.
Administering intravenous fluids with a high sodium content can help restore the sodium balance and prevent complications such as confusion, seizures, and coma.
Choice A is wrong because encouraging the patient to consume a low-sodium diet would worsen the hyponatremia and increase the risk of electrolyte imbalance.
Choice C is wrong because administering a diuretic medication to increase urine output would cause further fluid and sodium loss and exacerbate the hyponatremia.
Choice D is wrong because encouraging the patient to increase fluid intake would dilute the sodium concentration and lower the serum sodium level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Dysuria, which means pain or a burning sensation when peeing, is a common symptom of urinary tract infection (UTI).
UTIs are caused by bacteria entering the urinary tract through the urethra and spreading to the bladder or kidneys.
Choice A is wrong because nausea is not a specific symptom of UTI, although it may occur if the infection spreads to the kidneys.
Choice B is wrong because diarrhea is not a symptom of UTI, but rather a condition that affects the digestive system.
Choice D is wrong because constipation is also not a symptom of UTI, but a problem with bowel movements.
Normal ranges for urine tests vary depending on the type of test and the laboratory that performs it.
However, some general ranges are:
Specific gravity: 1.005 to 1.030
pH: 4.6 to 8.0
Protein: less than 150 mg/dL Glucose: less than 130 mg/dL Ketones: none
Blood: none Nitrites: none
Leukocyte esterase: none Bacteria: none or few
White blood cells: less than 5 per high-power field Red blood cells: less than 3 per high-power field Epithelial cells: few
Correct Answer is D
Explanation
Protein intake can increase the excretion of calcium and oxalate in the urine, which can promote the formation of calcium oxalate stones. The client should limit animal protein sources, such as meat, poultry, fish, eggs, and dairy products.
Choice A is wrong because purine-rich foods, such as organ meats, shellfish, and beer, can increase the production of uric acid, which can cause uric acid stones.
Choice B is wrong because a low-calcium diet can increase the absorption of oxalate in the intestine, which can increase the risk of calcium oxalate stones.
The client should consume a moderate amount of calcium from dietary sources, such as milk, cheese, yogurt, and green leafy vegetables.
Choice C is wrong because potassium-rich foods, such as bananas, oranges, potatoes, and tomatoes, can help prevent calcium oxalate stones by increasing the urinary pH and citrate levels.
The client should consume adequate amounts of potassium from dietary sources.
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